JESSICA FORD BROUSSARD

FREMONT, NE
NPI1134319544
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172M00000X Mechanotherapist
(Licence: LA  Z11945)
Enumeration Date2007-08-01
Last Update Date2007-08-01
Business Address
JESSICA FORD BROUSSARD OTR/L
1005 E 23RD ST SUITE 200
FREMONT, NE 68025-0800
Phone number: 866-784-2329
Mailing Address
JESSICA FORD BROUSSARD OTR/L
7117 GLENDALE ST
METAIRIE, LA 70003-3103
Phone number: 504-343-4926